A client entering a program will be given an orientation to the program and process of treatment.  This orientation
shall include agency treatment philosophy, staff procedures, client rights, client responsibilities, fee schedule,
grievance procedure, physical layout of the facility, safety procedures and reasons for discharge. 

1.      Upon admission an oral and written orientation to the program and treatment process shall be given by assigned staff. 
    The orientation shall include: 

a)       Probable length of stay, including maximum length, if any, in the treatment program.  (Usually 40-45 days).

b)       When a primary counselor will be assigned and the expectation of meeting with counselor at least once each week.

c)       The daily schedule of activities, including visiting times.

d)       The client's responsibilities for helping keep the living areas clean and neat.  (We have a duties roster
      and assignments on that roster are included in the initial treatment plan).

e)       Fees are not charged for Inpatient except that each client is expected to apply for food stamps and then turn
      them over to us.  If they are not eligible for food stamps, we ask their referring agency to pay a $200 fee to
      cover the cost of that client's food.

f)         What the client can expect from the Staff.

g)       How client's family may be involved in the treatment program.

h)       A copy of Client Rights.

i)         Client responsibilities, house rules, guidelines of treatment, and Treatment Contract.

j)         Grievance Procedure. 

2.      Upon closure of the orientation process, a Documentation of Understanding will be signed by the client who shall indicate his/her having received the orientation information.  The Documentation of Understanding will be placed in the client file and a copy retained by the client. 

          3.   A copy of the client rights and grievance procedure shall be displayed on  the client
                bulletin board in the center.       

The purpose of the clinical record is to document services provided to the client. Key information is communicated  to other staff through the clinical records. Accountability for the identification of problems and the development of plans to meet clients needs is affixed. The clinical record forms the basis for programming planning and revision.  It is an important component in the Quality Assurance Program and contains important basis by which to assure funding from IHS, State of Nebraska and local sources.